|
Exc ben+marg excep skin tag feenlm 2.1-3cm 11443
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$2,069.20
|
|
Exc ben+marg excep skin tag snhfg 2.1-3cm 11423
|
$406.20 |
$406.20 |
$406.20 |
$2,271.01
|
|
Exc ben+marg excep skin tag snhfg >4cm 11426
|
$718.80 |
$718.80 |
$718.80 |
$3,483.00
|
|
Exc ben+marg excep skin tag tal 0.6-1cm 11401
|
$969.00 |
$969.00 |
$969.00 |
$779.35
|
|
Exc ben+marg excep skin tag tal 2.1-3/>cm 11403
|
$1,651.80 |
$1,651.80 |
$1,651.80 |
$1,314.67
|
|
Exchange biliary drg cath
|
$7,502.40 |
$7,502.40 |
$7,502.40 |
$3,856.84
|
|
Exchange drainage catheter
|
$6,913.20 |
$6,913.20 |
$6,913.20 |
$2,220.54
|
|
Exchange nephrostomy cath
|
$2,685.60 |
$2,685.60 |
$2,685.60 |
$2,958.80
|
|
Exc hidradenitis ing simpl 11462
|
$621.60 |
$621.60 |
$621.60 |
$3,386.84
|
|
Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$914.34
|
|
Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm
|
$348.00 |
$348.00 |
$348.00 |
$2,064.75
|
|
Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm
|
$2,184.60 |
$2,184.60 |
$2,184.60 |
$1,072.24
|
|
Excision benign lesion trunk/arms/legs > 4.0 cm
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$2,865.00
|
|
Excision graft extremity
|
$504.00 |
$504.00 |
$504.00 |
$4,881.00
|
|
Excision olecranon bursa
|
$2,271.60 |
$2,271.60 |
$2,271.60 |
$3,591.33
|
|
Exc malig feenl 1.1-2 11642
|
$477.00 |
$477.00 |
$477.00 |
$1,082.00
|
|
Exc malig snhfg 0.5cm or less 11620
|
$315.00 |
$315.00 |
$315.00 |
$1,377.57
|
|
Exc malig snhfg 2.1-3 cm 11623
|
$550.20 |
$550.20 |
$550.20 |
$1,954.00
|
|
Exc mal+marg tal 2.1-3 cm 11603
|
$508.20 |
$508.20 |
$508.20 |
$1,207.80
|
|
Exc/pilonidal cyst/sinus/simple 11770
|
$480.60 |
$480.60 |
$480.60 |
$3,386.84
|
|
Exc skn hdrdnt ax complex
|
$846.00 |
$846.00 |
$846.00 |
$3,494.40
|
|
Exc skn hdrdnt ax smpl/ntrm
|
$652.80 |
$652.80 |
$652.80 |
$3,386.84
|
|
Exc sq tum/neck/ant thorax 3cm/> 21552
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$4,744.88
|
|
Exc sq tumor/thigh/knee area 3cm/> 27337
|
$1,087.80 |
$1,087.80 |
$1,087.80 |
$4,019.60
|
|
Exc thigh/knee tum dep 5cm/>
|
$3,514.80 |
$3,514.80 |
$3,514.80 |
$3,700.80
|
|
Exc thrombosed hemorrhoid 46320
|
$1,522.80 |
$1,522.80 |
$1,522.80 |
$2,175.36
|
|
Exc tmr sft tiss shldr subq <3cm
|
$849.60 |
$849.60 |
$849.60 |
$3,059.15
|
|
Exercise tst brncspsm w/ecg
|
$275.40 |
$275.40 |
$275.40 |
$335.52
|
|
Exercise tst brncspsm wo ecg
|
$112.80 |
$112.80 |
$112.80 |
$129.92
|
|
Exercise w/hemodynamic meas
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$901.60
|
|
Expl lap celiotomy w/wo bx 49000
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$2,357.35
|
|
Exploration retroperitoneal area 49010
|
$2,465.40 |
$2,465.40 |
$2,465.40 |
$1,786.20
|
|
Explore adrenal gland w or without biopsy 60540
|
$2,817.00 |
$2,817.00 |
$2,817.00 |
$2,228.80
|
|
Explore parathyroid glands
|
$1,307.40 |
$1,307.40 |
$1,307.40 |
$7,000.36
|
|
Explore penetrating wnd/extremity 20103
|
$5,344.20 |
$5,344.20 |
$5,344.20 |
$1,788.80
|
|
Explore/repair chest 32110
|
$7,908.00 |
$7,908.00 |
$7,908.00 |
$3,698.00
|
|
Explore/treat finger joint
|
$4,131.00 |
$4,131.00 |
$4,131.00 |
$2,480.83
|
|
Exp w remove/deep fb/forearm/wrist 25248
|
$2,055.00 |
$2,055.00 |
$2,055.00 |
$3,623.43
|
|
Ex sq tumor/face or scalp 2 cm/> 21012
|
$877.20 |
$877.20 |
$877.20 |
$2,896.40
|
|
Extended steel shank
|
$205.20 |
$205.20 |
$205.20 |
$111.44
|
|
External chromosome analysis 20-25 cells
|
$1,033.80 |
$1,033.80 |
$1,033.80 |
$415.01
|
|
External tissue culture neoplastic disorders bone marrow/blood cells
|
$1,028.40 |
$1,028.40 |
$1,028.40 |
$457.07
|
|
Extractable nuclear antigen/antibody any method each antibody centromere
|
$100.20 |
$100.20 |
$100.20 |
$109.00
|
|
Eye Socket (Orbit) X-ray
|
$262.80 |
$262.80 |
$262.80 |
$328.35
|
|
Eye Socket, Pituitary or Ear CT Scan (with and without contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,705.20
|
|
Eye Socket, Pituitary or Ear CT Scan (with contrast)
|
$1,294.80 |
$1,294.80 |
$1,294.80 |
$1,543.00
|
|
Eye Socket, Pituitary or Ear CT Scan (without contrast)
|
$796.80 |
$796.80 |
$796.80 |
$1,320.00
|
|
F-18 fdg pet diag
|
$537.60 |
$537.60 |
$537.60 |
$551.72
|
|
F-18 florbetapir less than or equal to 10 mci
|
$12,351.00 |
$12,351.00 |
$12,351.00 |
$5,224.83
|
|
F-18 fluciclovine per mci
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$1,042.30
|
|
F-18 sodium fluoride
|
$640.80 |
$640.80 |
$640.80 |
$492.56
|
|
Face, Eye Socket and Neck MRI (with and without contrast)
|
$2,854.80 |
$2,854.80 |
$2,854.80 |
$2,821.87
|
|
Face, Eye Socket and Neck MRI (without contrast)
|
$1,741.80 |
$1,741.80 |
$1,741.80 |
$1,883.25
|
|
Facial Bones X-ray (1 to 2 views)
|
$188.40 |
$188.40 |
$188.40 |
$252.60
|
|
Facial Bones X-ray (complete)
|
$262.80 |
$262.80 |
$262.80 |
$381.75
|
|
Factor ix
|
$96.60 |
$96.60 |
$96.60 |
$162.50
|
|
Factor ix recombinant nos
|
$2,040.00 |
$2,040.00 |
$2,040.00 |
$4.65
|
|
Factor viii
|
$91.20 |
$91.20 |
$91.20 |
$148.00
|
|
Factor viii recombinant nos
|
$2,280.00 |
$2,280.00 |
$2,280.00 |
$5.20
|
|
Factor viii recomb novoeight
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$7.21
|
|
Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution
|
$1,620.60 |
$1,620.60 |
$1,620.60 |
$5,894.50
|
|
Fat/lipids feces qualitative
|
$25.80 |
$25.80 |
$25.80 |
$36.00
|
|
Fatty acids nonesterified
|
$94.80 |
$94.80 |
$94.80 |
$72.15
|
|
#fecal-sodium
|
$24.60 |
$24.60 |
$24.60 |
$37.53
|
|
Feeding tube reposition
|
$447.60 |
$447.60 |
$447.60 |
$520.00
|
|
Fem/popl revasc w/stent
|
$17,281.80 |
$17,281.80 |
$17,281.80 |
$16,129.60
|
|
Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper)
|
$35.40 |
$35.40 |
$35.40 |
$101.40
|
|
Ferric carboxymaltose 50 mg iron/ml intravenous solution
|
$58.80 |
$58.80 |
$58.80 |
$2,590.25
|
|
Ferritin
|
$68.40 |
$68.40 |
$68.40 |
$102.48
|
|
Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution
|
$42.00 |
$42.00 |
$42.00 |
$1,636.50
|
|
Fetal biophys profile w/nst 76818
|
$394.20 |
$394.20 |
$394.20 |
$541.74
|
|
Fetal chrom aneuploidy gsa panel
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,166.15
|
|
Fetal contract stress test 59020 - 26
|
$555.60 |
$555.60 |
$555.60 |
$477.50
|
|
Fetal cord puncture prenatal
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$751.20
|
|
Fetal fibronectin
|
$326.40 |
$326.40 |
$326.40 |
$389.95
|
|
Fetal fluid drainage w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$612.00
|
|
Fetal hemoglobin (kleihauer betke)
|
$40.20 |
$40.20 |
$40.20 |
$102.00
|
|
Fetal hemoglobin rosette
|
$48.00 |
$48.00 |
$48.00 |
$67.20
|
|
Fetal non stress test
|
$752.40 |
$752.40 |
$752.40 |
$478.50
|
|
Fetal shunt placement w/us
|
$1,034.40 |
$1,034.40 |
$1,034.40 |
$754.00
|
|
Fibrin degradation d dimer quantitative
|
$51.60 |
$51.60 |
$51.60 |
$120.64
|
|
Fibrin degradation products
|
$34.20 |
$34.20 |
$34.20 |
$75.02
|
|
Fibrin degrade semiquant
|
$34.80 |
$34.80 |
$34.80 |
$84.50
|
|
Fibrinogen activity
|
$49.20 |
$49.20 |
$49.20 |
$87.00
|
|
Fibrinolysins/coagulopathy screen interpretation/report
|
$33.00 |
$33.00 |
$33.00 |
$61.00
|
|
Fibrinolytic antiplasmin
|
$40.20 |
$40.20 |
$40.20 |
$72.80
|
|
Fibrinolytic plasminogen
|
$87.00 |
$87.00 |
$87.00 |
$107.50
|
|
Fibrinolytic plasminogen xcpt antgnc asa
|
$33.00 |
$33.00 |
$33.00 |
$66.60
|
|
Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe
|
$262.80 |
$262.80 |
$262.80 |
$595.48
|
|
Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr
|
$188.40 |
$188.40 |
$188.40 |
$1,197.83
|
|
Filgrastim-sndz 300 mcg/0.5 ml injection syringe
|
$328.80 |
$328.80 |
$328.80 |
$891.02
|
|
Filter spider fx 3mmx320cm
|
$6,785.40 |
$6,785.40 |
$6,785.40 |
$7,358.16
|
|
Filter vena cava fem denali
|
$4,507.80 |
$4,507.80 |
$4,507.80 |
$3,718.18
|
|
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$1,081.52
|
|
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008
|
$231.60 |
$231.60 |
$231.60 |
$694.14
|
|
Fine needle aspiration biopsy w/us gdn; ea addtl 10006
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$825.00
|
|
Fine needle asp without image guide 10021
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$504.45
|
|
Finger X-ray (both hands)
|
$188.40 |
$188.40 |
$188.40 |
$241.50
|
|
Fix g/colon tube w/device
|
$2,977.20 |
$2,977.20 |
$2,977.20 |
$1,183.00
|
|
Flecainide (tambocor)-sendout
|
$124.20 |
$124.20 |
$124.20 |
$65.65
|
